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Dr. Camila Margarita Manrique, MD

(Dr. Camila Margarita Manrique Acevedo, M.D.)

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Specializes in: Adult Endocrinology

National University of Colombia Faculty of Medicine

Professional interests include: hypertension (high blood pressure), Graves disease, osteoporosis, and more.

1 Hospital Drive
Columbia, MO

(573) 882-4141

Dr. Camila Margarita Manrique, MD is an endocrinologist in Columbia, MO specializing in adult endocrinology. She graduated from National University of Colombia Faculty of Medicine. Dr. Camila Margarita Manrique, MD is affiliated with U.S. Department of Veterans Affairs, University of Missouri Health Care and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

Address:

1 Hospital Drive
Columbia, MO

Address:

1 Hospital Drive
Columbia, MO 65212

Address:

1100 Virginia Avenue
Columbia, MO

Address:

800 Hospital Drive Harry S. Truman Mvh (543)
Columbia, MO 65201

Some issues Dr. Camila Margarita Manrique, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

In The News

"https://medicine.missouri.edu/news/drug-lowers-blood-sugar-also-reduces-blood-vessel-dysfunction-caused-aging", University of Missouri Health Care

"https://medicine.missouri.edu/news/sedentary-lifestyle-and-sugary-diet-more-detrimental-men", University of Missouri Health Care

"https://medicine.missouri.edu/news/overactive-cells-linked-type-2-diabetes", University of Missouri Health Care

aspiration	20
diagnostic procedures	20
doctor visit	282
hospital care	17
image guided procedures	20
inpatient care	17
minimally invasive procedures	20
minor procedures	20
neck imaging	65
ultrasound (sonogram)	65

**Gender**
Male	71
Female	143

**Ethnicity**
Non-Hispanic White	184
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	79
From 75 to 84	0
85 and over	0
Less than 65	91

Hypertension	75
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	35
Depression	39
Chronic Kidney Disease	28
Asthma	12
Osteoperosis	10
Atrial Fibrilation	9
Heart Failure	25
Chronic Obstructive Pulmonary Disease	20
Diabetes	61
Dementia	7
Cancer	9

aspiration	23
diagnostic procedures	23
doctor visit	319
hospital care	29
image guided procedures	23
inpatient care	29
minimally invasive procedures	23
minor procedures	23
neck imaging	83
ultrasound (sonogram)	83

**Gender**
Male	92
Female	142

**Ethnicity**
Non-Hispanic White	206
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	0
85 and over	0
Less than 65	90

Hypertension	70
High Cholesterol	59
Stroke	6
Ischemic Heart Disease	38
Depression	39
Chronic Kidney Disease	30
Asthma	8
Osteoperosis	13
Atrial Fibrilation	15
Heart Failure	25
Chronic Obstructive Pulmonary Disease	20
Diabetes	58
Dementia	8
Cancer	10

aspiration	14
diagnostic procedures	14
doctor visit	213
image guided procedures	14
minimally invasive procedures	14
minor procedures	14
neck imaging	61
ultrasound (sonogram)	61

**Gender**
Male	130
Female	238

**Ethnicity**
Non-Hispanic White	320
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	162
From 75 to 84	0
85 and over	0
Less than 65	136

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	31
Depression	35
Chronic Kidney Disease	36
Asthma	14
Osteoperosis	9
Atrial Fibrilation	10
Heart Failure	17
Chronic Obstructive Pulmonary Disease	16
Diabetes	60
Dementia	0
Cancer	10

aspiration	17
diagnostic procedures	17
doctor visit	174
image guided procedures	17
minimally invasive procedures	17
minor procedures	17
neck imaging	69
ultrasound (sonogram)	69

**Gender**
Male	56
Female	100

**Ethnicity**
Non-Hispanic White	138
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	0
85 and over	0
Less than 65	52

Hypertension	75
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	29
Depression	28
Chronic Kidney Disease	46
Asthma	24
Osteoperosis	10
Atrial Fibrilation	7
Heart Failure	18
Chronic Obstructive Pulmonary Disease	19
Diabetes	53
Dementia	8
Cancer	11

doctor visit	72
hospital care	11
inpatient care	11
neck imaging	42
ultrasound (sonogram)	42

**Gender**
Male	39
Female	58

**Ethnicity**
Non-Hispanic White	85
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	0
85 and over	0
Less than 65	32

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	36
Depression	30
Chronic Kidney Disease	55
Asthma	0
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	27
Chronic Obstructive Pulmonary Disease	19
Diabetes	53
Dementia	12
Cancer	0

doctor visit	40
neck imaging	24
ultrasound (sonogram)	24

**Gender**
Male	28
Female	40

**Age**
From 65 to 74	32
From 75 to 84	17
85 and over	0
Less than 65	0

Hypertension	69
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	43
Depression	31
Chronic Kidney Disease	43
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	22
Chronic Obstructive Pulmonary Disease	18
Diabetes	41
Dementia	0
Cancer	0

doctor visit	27
hospital care	20
inpatient care	20
neck imaging	22
ultrasound (sonogram)	22

**Gender**
Male	27
Female	35

**Age**
From 65 to 74	26
From 75 to 84	13
85 and over	0
Less than 65	23

Hypertension	75
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	29
Depression	39
Chronic Kidney Disease	44
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	19
Chronic Obstructive Pulmonary Disease	18
Diabetes	44
Dementia	0
Cancer	0

doctor visit	19
hospital care	25
inpatient care	25
neck imaging	16
ultrasound (sonogram)	16

**Gender**
Male	18
Female	32

**Age**
From 65 to 74	16
From 75 to 84	0
85 and over	0
Less than 65	21

Hypertension	75
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	40
Depression	46
Chronic Kidney Disease	64
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	34
Chronic Obstructive Pulmonary Disease	0
Diabetes	54
Dementia	0
Cancer	0

doctor visit	40
neck imaging	24
ultrasound (sonogram)	24

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Camila Margarita Manrique, MD for Medicare patients.

The highest averages for the top procedures that Dr. Camila Margarita Manrique, MD treated as an endocrinologist in Columbia, MO were ultrasound (sonogram), neck imaging, hospital care and inpatient care.

aspiration	18
diagnostic procedures	18
doctor visit	135
hospital care	20
image guided procedures	18
inpatient care	20
minimally invasive procedures	18
minor procedures	18
neck imaging	45
ultrasound (sonogram)	45

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Camila Margarita Manrique, MD.

**Gender**
Male	46
Female	78

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	93
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	0
75 to 84	3
Less than 65	44
65 to 74	52

Average of Total of Conditions of Medicare patients treated by Dr. Camila Margarita Manrique, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Camila Margarita Manrique, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	58
High Cholesterol	47
Stroke	1
Ischemic Heart Disease	28
Depression	28
Chronic Kidney Disease	34
Asthma	5
Osteoporosis	4
Heart Failure	18
Chronic Obstructive Pulmonary Disease	13
Diabetes	42
Atrial Fibrillation	5
Dementia	3
Cancer	4

Education & Training

Dr. Camila Margarita Manrique, MD graduated from National University of Colombia Faculty of Medicine. She completed residency at University of Missouri Health System. She is certified by the American Board of Internal Medicine-Endocrinology, Diabetes & Metabolism and has a state license in Missouri.

Medical School: National University of Colombia Faculty of Medicine

Residency: University of Missouri Health System

Board Certification: American Board of Internal Medicine-Endocrinology, Diabetes & Metabolism

Licensed In: Missouri

Affiliations & Hospitals

Dr. Camila Margarita Manrique, MD is associated with these hospitals and organizations:

U.S. Department of Veterans Affairs

University of Missouri Health Care

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Dr. Camila Margarita Manrique, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic, Inc.	$182 MINIMED 780G $182
SANOFI-AVENTIS U.S. LLC	$141 TOUJEO $71	PRALUENT $70
Pfizer Inc.	$135 SOMAVERT $75	GENOTROPIN $60
Merck Sharp & Dohme Corporation	$112 ZETIA $84	NON-PRODUCT $28
Lilly USA, LLC	$88 HUMULIN $88
Other	$198 Cycloset $54	COMETRIQ $48	Phexxi $16	Proclaim IPG $12	$68

**Types of Payments**
Food and Beverage	$768
Education	$88

Research Payments

Dr. Camila Margarita Manrique, MD has received 22 research payments totaling $74,180.

Biography

Dr. Camila Manrique is a specialist in adult endocrinology in Columbia, MO. After completing medical school at National University of Colombia Faculty of Medicine, she performed her residency at the University of Missouri Health System. Dr. Manrique's clinical interests include diabetes, osteoporosis, and hypertension (high blood pressure). Awards and/or distinctions she has received include Outstanding Student Teaching Resident, Department of Internal Medicine, University of Missouri; Distinction to the best intern in the Fundacion Santa Fe de Bogota; and First place in. She is affiliated with the University of Missouri Health Care and U.S. Department of Veterans Affairs. University of Missouri Health Care reports that Dr. Manrique is accepting new patients at her office in Columbia, MO.